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service manual 6bt 5 9 marineThe 13-digit and 10-digit formats both work. Please try again. We'll e-mail you with an estimated delivery date as soon as we have more information. Your account will only be charged when we ship the item. With the support of the National Institutes of Health (NIH), National Institute on Drug Abuse (NIDA), researchers at the National Development and Research Institutes and Louisiana State University have developed an HIV counseling and testing intervention designed to address the unique needs of substance-using heterosexual couples. This evaluation version of the manual describes the content and administration of the intervention in detail. The effectiveness of this program for reducing HIV risk is currently under clinical investigation. This manual is intended for researchers and service providers who wish to review and evaluate HIV prevention programs designed for high-risk heterosexual couples. Then you can start reading Kindle books on your smartphone, tablet, or computer - no Kindle device required. Full content visible, double tap to read brief content. Videos Help others learn more about this product by uploading a video. Upload video To calculate the overall star rating and percentage breakdown by star, we don’t use a simple average. Instead, our system considers things like how recent a review is and if the reviewer bought the item on Amazon. It also analyzes reviews to verify trustworthiness. A Manual for an Enhanced HIV-CT Intervention for Substance-Using Heterosexual Couples January 2006 Publisher: New York: Chaucer Press ISBN: 1-884092-09-1 Authors: James M. McMahon University of Rochester Stephanie Tortu Louisiana State University Health Sciences Center New Orleans William Rodriguez Hamid R Hamid R This person is not on ResearchGate, or hasn't claimed this research yet. Once enrolled, each member of the couple was administered (separately) a structured quantitative questionnaire by gender-matched bilingual interviewers.http://www.pphjako.pl/userfiles/hp-3055-user-manual.xml
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The CB-HIV-CT was administered jointly to both female and male members of each couple (dyadic sessions), whereas only women participated in the WRF-HIV-CT and NIDA HIV-CT interventions.. Risk of Intimate Partner Violence and Relationship Conflict Following Couple-Based HIV Prevention Counseling: Results From the Harlem River Couples Project Article Full-text available Aug 2015 J INTERPERS VIOLENCE James M. McMahon Ruth L Chimenti Nicole Trabold Stephanie Tortu Heterosexual transmission of HIV often occurs in the context of intimate sexual partnerships. There is mounting evidence that couple-based HIV prevention interventions may be more effective than individual-based interventions for promoting risk reduction within such relationships. Yet, concerns have been raised about the safety of couple-based prevention approaches, especially with regard to the risk of intimate partner violence against women. Although several international studies have examined the potential for adverse consequences associated with couple-based interventions, with inconsistent results, there is little data from U.S. studies to shed light on this issue. The current study analyzed data from a randomized trial conducted in New York City with 330 heterosexual couples to examine whether participation in couple-based or relationship-focused HIV counseling and testing (HIV-CT) interventions resulted in an increased likelihood of post-intervention breakups, relationship conflicts, or emotional, physical, or sexual abuse, compared with standard individual HIV-CT. Multinomial logistic regression was used to model the odds of experiencing change in partner violence from baseline to follow-up by treatment condition.http://dasita.com/files/hp-3055-service-manual.xml A high prevalence of partner-perpetrated violence was reported by both male and female partners across treatment conditions, but there was no conclusive evidence of an increase in relationship dissolution or partner violence subsequent to participation in either the couple-based HIV-CT intervention or relationship-focused HIV-CT intervention compared with controls. Qualitative data collected from the same participants support this interpretation. HIV prevention interventions involving persons in primary sexual partnerships should be sensitive to relationship dynamics and the potential for conflict, and take precautions to protect the safety of both male and female participants. View Show abstract. Pilot rehearsals with 8 couples were conducted prior to subject enrollment. Ten percent (10) of the interventions in each treatment condition were randomly selected for monitoring by the Project Director or Principal Investigator to assess fidelity.. MCMAHON.J13AD1 Data Apr 2015 James M. McMahon Stephanie Tortu Enrique Rodriguez Pouget Rahul Hamid View. The backup counselor had similar education and experience. The couple-based HIV-CT intervention was manualized to enhance training (McMahon et al. 2006 ). Both interventionists received extensive training on the couple-based HIV-CT intervention and standard-of-care control using an interactive skills-building approach.. Couple-Based HIV Counseling and Testing: a Risk Reduction Intervention for US Drug-Involved Women and Their Primary Male Partners Article Full-text available Dec 2014 PREV SCI James M. McMahon Enrique Rodriguez Pouget Stephanie Tortu William Rodriguez To help reduce the elevated risk of acquiring HIV for African-American and Latina women drug users in primary heterosexual relationships, we developed a brief couple-based HIV counseling and testing prevention intervention.http://seasailing.us/node/5549 The intervention was based on an integrated HIV risk behavior theory that incorporated elements of social exchange theory, the theory of gender and power, the stages-of-change model, and the information-motivation-behavior skills model. In this article, we describe the development, content, and format of the couple-based HIV testing and counseling intervention, and its delivery to 110 couples (220 individuals) in a randomized effectiveness trial, the Harlem River Couples Project, conducted in New York City from 2005 to 2007. Components of the couple-based intervention included a personalized dyadic action plan based on the couple's risk profile and interactive exercises designed to help build interpersonal communication skills, and facilitated discussion of social norms regarding gender roles. The couple-based HIV testing and counseling intervention significantly reduced women's overall HIV risk compared to a standard-of-care individual HIV testing and counseling intervention. Experiences and perceptions of the intervention were positive among both clients and interventionists. The study was the first to demonstrate the effectiveness and feasibility of delivering a brief couple-based HIV counseling and testing intervention to reduce risk among drug-using heterosexual couples in high HIV prevalent urban communities in the USA. The intervention can be expanded to include new HIV prevention strategies, such as pre-exposure prophylaxis. Further research is needed to evaluate cost-effectiveness and implementation of the intervention in clinical settings. Ten percent (10) of the interventions in each treatment condition were randomly selected for monitoring by the Project Director or Principal Investigator to assess fidelity.. Effectiveness of Couple-Based HIV Counseling and Testing for Women Substance Users and Their Primary Male Partners: A Randomized Trial Article Full-text available Mar 2013 James M. McMahon Stephanie Tortu Enrique Rodriguez Pouget Rahul Hamid A randomized trial was conducted to test the effectiveness of couple-based HIV counseling and testing (CB-HIV-CT) and women-only relationship-focused HIV counseling and testing (WRF-HIV-CT) in reducing HIV risk compared to the National Institute on Drug Abuse HIV-CT standard intervention. Follow-up assessments measuring HIV risk behaviors and other relevant variables were conducted at 3- and 9-months postintervention. Repeated measures generalized linear mixed model analysis was used to assess treatment effects. View Show abstract ResearchGate has not been able to resolve any references for this publication. Recommended publications Discover more Article Genital Human Papillomavirus Prevalence and Human Papillomavirus Concordance in Heterosexual Couples. August 2017 Akintayo Ogunwale Read more Looking for the full-text. You can request the full-text of this book directly from the authors on ResearchGate. Request full-text Already a member. Log in ResearchGate iOS App Get it from the App Store now. Install Keep up with your stats and more Access scientific knowledge from anywhere or Discover by subject area Recruit researchers Join for free Login Email Tip: Most researchers use their institutional email address as their ResearchGate login Password Forgot password. Keep me logged in Log in or Continue with LinkedIn Continue with Google Welcome back. Keep me logged in Log in or Continue with LinkedIn Continue with Google No account. All rights reserved. Terms Privacy Copyright Imprint. We'll e-mail you with an estimated delivery date as soon as we have more information.Please try again.Please try again.Warranty may not be valid in the UAE. With the support of the National Institutes of Health (NIH), National Institute on Drug Abuse (NIDA), researchers at the National Development and Research Institutes and Louisiana State University have developed an HIV counseling and testing intervention designed to address the unique needs of substance-using heterosexual couples. This manual is intended for researchers and service providers who wish to review and evaluate HIV prevention programs designed for high-risk heterosexual couples. Warranty may not be valid in the UAE. To calculate the overall star rating and percentage breakdown by star, we don’t use a simple average. It also analyses reviews to verify trustworthiness. Learn More. The intervention was based on an integrated HIV risk behavior theory that incorporated elements of social exchange theory, the theory of gender and power, the stages-of-change model, and the information-motivation-behavior skills model. In this article we describe the development, content and format of the couple-based HIV testing and counseling intervention, and its delivery to 110 couples (220 individuals) in a randomized effectiveness trial, the Harlem River Couples Project, conducted in New York City from 2005 to 2007. Components of the couple-based intervention included a personalized dyadic action plan based on the couple’s risk profile, and interactive exercises designed to help build interpersonal communication skills, and facilitated discussion of social norms regarding gender roles. The couple-based HIV testing and counseling intervention significantly reduced women’s overall HIV risk compared to a standard-of-care individual HIV testing and counseling intervention. The study was the first to demonstrate the effectiveness and feasibility of delivering a brief couple-based HIV counseling and testing intervention to reduce risk among drug-using heterosexual couples in high HIV prevalent urban communities in the United States. Research examining social networks reveals the highest sexual risk among individuals who provide, receive or use drugs ( Pilowsky et al., 2007 ). Drug-involved African American and Latina women in primary, heterosexual relationships thus constitute one of the most vulnerable risk groups for HIV and merit high priority for HIV prevention intervention research. Responding to the high rates of HIV transmission in heterosexual, intimate partnerships, HIV prevention efforts have shifted away from an emphasis on individual-centered intervention approaches to more relevant, dual-gender, couple-, and family-based interventions ( National Institute on Drug Abuse, 2002 ). In light of men’s salient influence on sexual decision-making, particularly in intimate relationships, these prevention programs include contextual and relationship factors as well as male gender perspectives that influence couples’ sexual decision-making. Social exchange theory holds that behavioral decisions depend on the perceived trade-offs of costs and rewards of the behavior compared to alternatives within the context of social interactions and mutual obligations. For dyadic behavior involving couples, this must encompass the pros and cons for each individual as well as for the relationship, which adds a level of complexity to decision-making. The theory of gender and power depicts differential gender roles and norms that create a disadvantage for women in terms of social power and access to resources within intimate relationships and in society. The complexity of decisions concerning heterosexual couple’s behaviors (e.g., whether or not to use condoms) is compounded by the gendered dynamics of the relationship (e.g., power inequity, gender norms) and by each member of the dyad having a different set of costs and rewards driving their decision frame. These sets of costs and rewards may be weighted differently based on individual perspectives. This decision-making process may lead to dyadic conflict, with resolution attained through negotiation, application of peer or gender norms, relationship power inequities, or relationship dissolution. The theories of social exchange and gender and power set up the behavioral options within an established gendered context. The dyadic dynamics underlying this equilibrium fall along a continuum of psychosocial readiness for dyadic behavior change. Using Prochaska’s (1994) behavioral change model, the counselor promotes the identification of staging change readiness and facilitates movement along this continuum. In recognition of the dyadic nature of this behavioral change, this staging has to be done at the lowest common denominator within couples. The final theory integrated into the couple-based CT-HIV intervention is Fisher and Fisher’s (1992) model, which underscores the importance of information, motivations, and skill acquisition for instituting behavioral change at the couple’s point of readiness. Once the couple’s point of readiness for change has been established, the intervention targets these three areas necessary for behavioral change. The counselor provides current information on HIV, other sexually transmitted infections (STIs), and sexual risk reduction, and conducts motivational interviewing to facilitate progression along Prochaska’s continuum. Finally, skills are taught targeting couple’s selected risk reduction behavior, including condom negotiation and communication. The couple-based HIV-CT intervention fully integrates these four critical theories of behavior change to promote a new, healthier equilibrium by reframing cost-reward perceptions, subjective norms, and social exchanges. For instance, the counselor guides the couple in reframing the relationship commitment in terms of mutual health and protection. This may potentially lead to renewed dyadic conflict, at least in the short-term, and it is essential for interventions to manage this conflict by providing couples with interpersonal strategies and skills to attain resolution through negotiation and effective communication. Relevant information and motivation may facilitate realignment of dyadic social exchanges, as well as subjective norms, leading to progression of readiness to enact health behavior change. Acquiring requisite cognitive mapping and behavioral skills is assumed to be a precondition for enactment. Since the program was designed as a primary prevention intervention, all women self-reported as HIV-negative, but their primary male partner could be HIV-positive, negative or sero-unaware. The intervention was developed to be administered in either English or Spanish, so fluency in one of these languages was a requirement. As part of a randomized controlled trial, the couple-based HIV-CT intervention was administered to 110 eligible couples (220 individuals) to test the efficacy of the intervention against a National Institute on Drug Abuse (NIDA) standard-of-care control intervention, which was administered to 116 women. The trial was conducted in Harlem and South Bronx in New York City from March 2005 to September 2007. Procedures for the recruitment and enrollment of couples into the trial have been described in detail by McMahon et al. ( McMahon et al., 2013; McMahon et al., 2003 ). Women who were eligible and willing to participate were asked to enlist their male partner into the study, following a set protocol. Couples were scheduled to visit a project field office for enrollment, assessment, randomization, and intervention administration. Follow-up assessments were conducted at three- and nine-months post-intervention. A Certificate of Confidentiality was obtained from the U.S. Department of Health and Human Services (DA-04-218), and all study protocols were approved by an Institutional Review Board. Couple-Based HIV Counseling and Testing Intervention The couple-based HIV counseling and testing intervention was developed by the authors based on prior qualitative and quantitative work with couples, published and unpublished literature, and independent expert review by scientists, clinicians, and counselors. The intervention approach is consistent with the prevention counseling model established by the Centers for Disease Control and Prevention, which emphasizes personalized risk assessment and tailored content, interactive counseling, positive message framing, skills-building, and the negotiation of achievable behavioral change goals ( Centers for Disease Control and Prevention, 1993; Rietmeijer, 2007 ). The major components of the intervention are listed in Table 1. Consistent with the standard model of voluntary HIV counseling and testing, the couple-based HIV-CT was divided into pre- and post-test sessions. The intervention was administered in a setting similar to that of a health clinic, including a reception and waiting area separate from multiple offices and medical room. Table 1 List of couple-based HIV counseling and testing intervention components Pre-Test Joint Couples Session. Basic information about HIV and other STIs, including hepatitis B and C, was provided to all couples. Thereafter, each couple was administered a series of risk reduction components personalized to their dyadic risk profile. After completion of the tailored components, dyadic interactive exercises were conducted that addressed negative norms related to risk behaviors as well as couples’ communication skills that may inhibit enactment of preventive behavior. Throughout the sessions, the counselor maintained an action plan of activities each couple had agreed to perform after completion of the intervention—for example, to desist or limit unprotected anal intercourse or engage in safe drug injection practices. Some action plan elements involved active referrals by the counselor, such as enrolling in a drug treatment program. The last component of the couple’s joint counseling session provided pre-test information regarding HIV and hepatitis B and C antibody testing. The final component of the intervention was conducted with each member of the couple individually. During these individual sessions the counselor addressed sex and drug-related risk that the client might have engaged in outside of their primary relationship. Finally, the counselor or phlebotomist collected biological samples for HIV and hepatitis B (HBV) and C (HCV) testing. Consistent with the HIV-CT model, each member of the couple was asked to return to receive test results, and at this visit the counselor delivered post-test counseling in which individual test results were provided and the action plan was reviewed for compliance and modification. In this way, the couple served both as advisor and as agents of change. Dyadic risk assessment A fundamental approach to the intervention was to customize program content to the risk behavior profile, stage of readiness for behavior change, and dyadic HIV serostatus of the couple. This was achieved by having each member of the couple complete an individual 10-item survey, developed by the investigative team. The survey contained questions on dyadic (within-couple) risk, such as HIV testing behavior, engagement in vaginal and anal intercourse, frequency of condom use, injection and non-injection drug use, and conception desires. The counselor informed couples in advance that individual responses to these items would not be shared with the other partner. The responses were privately handed to the counselor. An algorithm was created to translate responses to the 20 items (10 x 2 partners) into tailored program content. For example, if both members responded that they did not engage in anal sex with one another, then the anal intercourse risk reduction component was omitted from program content. However, if one or both partners responded positively to this item, then the component was incorporated into the program. In addition, the content of each delivered component was tailored to the couple’s stage of readiness for behavior change. For example, if both members reported using condoms consistently during vaginal intercourse, then the program delivered content tailored to reinforce maintenance of this behavior. However, if one or both members of the couple reported intermittent or no condom use, then the content was tailored to promote safer sex behavior change. Content was also customized to the dyadic HIV serostatus of the couple. Since the intervention was designed to reduce women’s primary risk of HIV infection, all of the women who participated in the intervention were HIV-negative. To elicit the HIV status of the male partner, the counselor initiated a conversation about past HIV testing and whether each member of the couple had knowledge of the other’s status. Eight of the 110 male partners (7.3) who participated in the couple-based intervention self-reported as HIV-positive (subsequently confirmed through HIV testing), and all of the enrolled female primary partners of these men reported being aware of their partner’s status. HIV-serodiscordant couples were administered tailored content for all relevant components, and were also delivered additional components addressing antiretroviral therapy adherence for the infected partner and safe conception options and referrals for couples wishing to conceive. Based on counselors’ experience and fidelity monitoring, the dyadic risk assessment approach to tailoring intervention content was time-efficient, reliable and effective. Video information component Regardless of the couple’s dyadic risk profile, all couples were shown a 10-minute video providing up-to-date information on HIV and other STIs (Chlamydia, gonorrhea, genital herpes, syphilis, trichomoniasis, yeast infection and hepatitis B virus), as well as hepatitis C virus. Appropriate informational videos can be selected for relevance to the population, or replaced with other media materials. The remaining components (5.3-5.10 in Table 1 ) were delivered only to couples who reported engaging in the target behavior. An additional optional component was developed for at-risk couples who were not HIV-serodiscordant and who were resolute in their opposition to condom use. Guided by our theoretical framework, most risk reduction components began by providing information designed to enable participants to recast their cost-reward assessment of the target behavior. The content of selected components was further customized to accommodate couples’ stage of behavior change. For example, the intervention content for at-risk couples who were not using condoms (pre-action stage) focused on behavior change (e.g., addressing cost-reward balance, and normative and relationship barriers to change) whereas the intervention content for couples using condoms intermittently or consistently (post-action stage) focused on increasing or maintaining existing condom use (e.g., positive reinforcement). Content for HIV-serodiscordant couples was also tailored to provide more precise information on risk of infection and the importance of adherence to ARV therapy for the positive partner. Interactive exercises Upon completion of the relevant risk reduction components, all couples were delivered two counselor-mediated interactive sessions: the first was designed to address subjective and community norms related to gender issues and sexual risk behavior, and the second to build interpersonal communication skills. The subjective norms session was presented in a game format called the “Community Challenge Game”. Couples were informed that 100 members in their community were surveyed on seven questions, and that the object of the game was to correctly guess which of several responses to each question was most commonly selected by members of their community. They were then asked to disclose their answers to one another, and the counselor revealed which response the community selected. The purpose of this exercise was to reveal within-dyad differences and similarities regarding perceived social norms related to gender roles and sexual behavior, as well as reinforce or challenge couples on their perceptions of community norms. Counselors guided the discussion toward a normative framework supporting healthy decisions. The second interactive session involved practiced couple communication. This method distinguishes the roles of speaker and listener, with a set of rules governing the conduct of each during communication. Guided by findings from qualitative interviews with couples, we adapted these rules for use with our target population, and formulated a set of Ten Good Communication Practices. After introducing the exercise, the counselor briefly summarized each practice, while listing them on a white board. Two columns labeled with the first name of each member of the couple were added to the right of the list. The counselor then asked each member to rate their own communication skill for each of the ten practices. “I’d like you to think about your own habits for communicating and whether or not you already practice these skills, because for each skill I’m going to ask you to rate yourself on a scale from 1 to 10, where 1 is the lowest score, meaning you’re very bad at it or you never practice it at all, and 10 is the highest score, meaning you’re very good at it.” Scores were elicited from the couple and written on the white board. Each member of the couple was then asked to comment on their partner’s self-rated scores, and point out scores with which they disagreed. The counselor must ensure that the discussion does not become overly contentious. The objective was simply to make each partner aware of the other’s perception of their communication practices, whether to reinforce poor or favorable self-perceived skills or highlight disagreements. Participants were then shown a five-minute video clip of a couple using good communication practices during a discussion. The content of the role-playing conversation was one of several scenarios selected by the counselor, or one that the couple had chosen. The session ended with constructive, non-judgmental, advice by the counselor to improve communication. Action plan review The penultimate component of the joint couples counseling session was to review the couple’s personalized Action Plan. Described to participants during the introductory session, the Action Plan form is a document maintained by the counselor throughout the joint counseling session. The plan identifies “actions” that the couple should consider enacting to enhance protective behavior. The counselor reviewed the couple’s Action Plan with them and elicited agreement to perform the recommended actions. Two copies of the plan were included in a packet given to the couple. Basic information was given to the couple about the nature of the tests for HIV, HBV, and HCV and the meaning of a positive or a negative result on each test.